Subject(s)
Pancreatic Neoplasms/surgery , Humans , Pancreatectomy , Pancreatic Neoplasms/diagnosis , PrognosisABSTRACT
The Authors produced their series of pancreatic cysts and pseudocysts. In order to a correct surgical therapy they deem it essential to do the Wirsungraphia or the cysto-wirsungraphia to recognize the "communicating cyst" and the "non communicating cyst". The simple resection and the cystoparenchimal resection are the operations of choice but the cystoanastomosis provides suitable and definitive results in the same way. Whereas the marsupialization and the external drainage are operations to reserve for the high risk patients, for the hazard of the pancreatic fistula particularly in the "communicating cyst".
Subject(s)
Pancreatic Cyst/surgery , Humans , Pancreatic Cyst/diagnostic imaging , Pancreatic Pseudocyst/diagnostic imaging , Pancreatic Pseudocyst/surgery , RadiographyABSTRACT
The treatment of perforated peptic ulcer, according to the experience of the Authors (327 cases), must be very pressing and always surgical. The closure of the perforation, the simplest treatment, seems the most suitable and the least dangerous for the survival of the patient, even though 68% of these patients will have to undergo surgery again in the course of 10 years. The radical treatment of resection, is reserved to few and carefully chosen cases, because it is loaded with sufficient risk. Acute bleeding peptic ulcer (86 cases) requires the operation: immediate or delayed according to the importance of the hemorrage: very serious, serious, moderate.
Subject(s)
Peptic Ulcer Hemorrhage/surgery , Peptic Ulcer Perforation/surgery , Emergencies , Gastrectomy , Humans , Pylorus/surgery , Time Factors , VagotomyABSTRACT
Personal experience with papillotomy and papillosphincterotomy in calculosis of the PBD is reported. The indications and results obtained are discussed. The techniques employed are described and an assessment is made of the extent to which these operations can be performed without causing unnecessary damage to the sphincter.
Subject(s)
Ampulla of Vater/surgery , Cholelithiasis/surgery , Sphincter of Oddi/surgery , Cholecystitis/surgery , Cholelithiasis/complications , Gallstones/surgery , Humans , MethodsABSTRACT
Personal experience with biliodigestive derivations in calculosis of the principal bile way is reported. The operating technique is presented and indications and results discussed. It is concluded that biliodigestive anastomosis must be carried out with an appropriate technique and in the presence of particular bile duct lesions, primarily choledochic ectasia.